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Acute and Recurrent Vesicular Hand Dermatitis

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Kanerva's Occupational Dermatology

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Abstract

Acute and recurrent vesicular hand dermatitis is a subtype of hand eczema.

This term covers dyshidrotic hand dermatitis (eczema) and pompholyx, terms that should be abandoned.

The disease is characterized by eruptive, vesicular dermatitis reactions that affect the palms, the palmar and lateral aspects of the fingers, and the periungual area.

The vesicles or bullous lesions are often large and deep-seated.

Causes and aggravating factors include emotional stress, hyperhidrosis, weather changes, atopy, mycosis, irritants, contact allergens, and systemic exposure to metals, drugs, and food. However, the cause is often unknown.

Treatment includes primarily removal of causative exposures as well as topical corticosteroids, phototherapy, and in some cases systemic treatment.

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Authors and Affiliations

  1. Department of Dermato-Allergology, National Allergy Research Centre, Gentofte Hospital, Niels Andersensvej 65, 2900, Hellerup, Denmark

    Jacob P. Thyssen MD & Torkil Menné MD (Professor)

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  1. Jacob P. Thyssen MD
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  2. Torkil Menné MD
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Correspondence to Jacob P. Thyssen MD .

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Editors and Affiliations

  1. Department of Dermatology and Allergology, VU University Medical Center, Amsterdam, The Netherlands

    Thomas Rustemeyer

  2. Department of Dermatology, University Hospital Jena, Jena, Germany

    Peter Elsner

  3. Department of Dermatology, Environmental Medicine and Health Theory, University of Osnabrück, Osnabrück, Germany

    Swen-Malte John

  4. Department of Dermatology, University of California, San Francisco, CA, USA

    Howard I. Maibach

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Thyssen, J.P., Menné, T. (2012). Acute and Recurrent Vesicular Hand Dermatitis. In: Rustemeyer, T., Elsner, P., John, SM., Maibach, H.I. (eds) Kanerva's Occupational Dermatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02035-3_18

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